Individual provider Active NPI

Adam M Bowman, MD

  • Ophthalmology Physician
  • Salt Lake City, UT
National Provider Identifier
1184846131
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
65922181205 Issued in UT
Practice address
1548 E 4500 S Ste 105
Salt Lake City, UT 84117-5209
Phone
(014) 243-0908
Fax
(801) 424-3091
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Ophthalmology Physician 207W00000X 65922181205 UT Primary

Addresses

Primary practice location

1548 E 4500 S Ste 105
Salt Lake City, UT 84117-5209

Mailing address

1580 W Antelope Dr
Suite 175
Layton, UT 84041-1160
Phone (801) 773-2233

Other practice location 1

380 E 1500 S Ste 204
Heber City, UT 84032-3942
Phone (435) 654-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000768 UT Practitioner - Ophthalmology 3375635014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stacy R Smith MD PCGroup PAC ID 3779733696, 2 clinicians

Practice addresses (Care Compare)

1548 E 4500
Suite 105
Salt Lake City, UT 84117-5209
Phone (801) 424-3090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.21

Merit-based Incentive Payment System (MIPS)

Final score
77.02 of 100Reported as group
Quality
59.83
Improvement activities
40
Cost
76.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65922181205UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy R Smith MD PC Ophthalmology CurrentSince Jun 22, 2017 Accepting new patients

Locations

380 E 1500 S
Ste 204
Heber City, UT 84032
Phone (435) 654-3090

1776 N Highway 40
Ste 101
Heber City, UT 84032
Phone (435) 294-2664

1548 E 4500 S
Ste 105
Millcreek, UT 84117
Phone (801) 277-4690

2700 Homestead Rd
Ste 30
Park City, UT 84098
Phone (435) 615-0435

2700 Homestead Rd
Park City, UT 84098
Phone (435) 658-1013

1485 E 3900 S
Ste 100
Salt Lake Cty, UT 84124
Phone (801) 277-2062

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1184846131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR",
            "address_2": "SUITE 175",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411160",
            "telephone_number": "801-773-2233",
            "fax_number": "801-773-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 E 4500 S STE 105",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175209",
            "telephone_number": "014-243-0908",
            "fax_number": "801-424-3091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 E 1500 S Ste 204",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840323942",
            "country_code": "US",
            "telephone_number": "435-654-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ADAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "65922181205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.